Individual provider · NPI-1

Bryan P Barrilleaux, MD

Emergency Medicine · Lake Charles, LA

NPI number1821080615
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1821080615
Entity type
Individual (NPI-1)
Name
Bryan P Barrilleaux
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 17, 2005
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine017896LAYes
207R00000X Internal Medicine017896LA

Practice location

643 S Ryan St
Lake Charles, LA 70601-5726

Phone 337-439-2000 · Fax 337-439-2025

Mailing address

643 S Ryan St
Lake Charles, LA 70601-5726

Phone 337-439-2000 · Fax 337-439-2025

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